| NPI | 1639557887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: PA 27793601) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: PA 07260501) |
| 164W00000X Licensed Practical Nurse (Licence: PA 07260501) | |
| 372500000X Chore Provider (Licence: PA 27793601) | |
| 372600000X Adult Companion (Licence: PA 27793601) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: PA 27793601) | |
| 374U00000X Home Health Aide (Licence: PA 07260501) | |
| 374U00000X Home Health Aide (Licence: PA 27793601) | |
| 376J00000X Homemaker (Licence: PA 27793601) | |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2019-05-27 |